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| Analysis of influencing factors of natural pregnancy of women with ovarian endometrioma after laparoscopic surgery |
| Honghu City People's Hospital, Hubei Province, 433200 |
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Abstract To analyze the related influencing factors of natural pregnancy in child bearing age women with ovarian endometrioma (OEM) after laparoscopic surgery. Methods: A total of 150 child bearing age women with OEM who had undergone laparoscopic surgery between December 2016 and December 2019 were analyzed retrospectively. According to whether or not natural pregnancy successfully within 3 years after surgery, these women were divided into group A (66 cases with natural pregnancy) and group B (84 cases without natural pregnancy). The clinical data, such as age, body mass index (BMI), types of ovarian cyst, scores of endometriosis fertility index (EFI), staging based on the revised American Fertility Society (rAFS), previous pelvic surgery history, and postoperative tubal patency, of the women in two groups were analyzed. The possible factors influencing the natural pregnancy of the women after laparoscopic surgery were analyzed by Logistic regression analysis. Results: Logistic regression analysis showed that age >35 years old, bilateral fallopian tube cysts, and the postoperative fallopian tube patency of the women with OEM were the independent factors influencing their natural pregnancy after laparoscopic surgery. Logistic regression risk prediction model of the natural pregnancy of the child bearing age women with OEM after laparoscopic surgery was established: P=1/［1+ E(-2.427+0.621×(age) + 0.615×(cyst side) + 0.722×(postoperative oviduct patency)］, and Hosmer-Lemeshow χ2=4.703, P=0.789. Receiver operating characteristic curve (ROC) analysis showed that the risk prediction model for predicting the postoperative natural pregnancy was 0.776. Conclusion: Clinical screening should be carried out for the related factors affecting the natural pregnancy after laparoscopic surgery, and preventive intervention measures should be conducted as early as possible to control the related factors and to improve the postoperative natural pregnancy rate.
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